Title |
High adherence to the Western, Prudent, and Mediterranean dietary patterns and risk of gastric adenocarcinoma: MCC-Spain study
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Published in |
Gastric Cancer, November 2017
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DOI | 10.1007/s10120-017-0774-x |
Pubmed ID | |
Authors |
Adela Castelló, Nerea Fernández de Larrea, Vicente Martín, Verónica Dávila-Batista, Elena Boldo, Marcela Guevara, Víctor Moreno, Gemma Castaño-Vinyals, Inés Gómez-Acebo, Guillermo Fernández-Tardón, Rosana Peiró, Rocío Olmedo-Requena, Rocio Capelo, Carmen Navarro, Silvino Pacho-Valbuena, Beatriz Pérez-Gómez, Manolis Kogevinas, Marina Pollán, Nuria Aragonés, On behalf of the MCC-Spain researchers |
Abstract |
The influence of dietary habits on the development of gastric adenocarcinoma is not clear. The objective of the present study was to explore the association of three previously identified dietary patterns with gastric adenocarcinoma by sex, age, cancer site, and morphology. MCC-Spain is a multicase-control study that included 295 incident cases of gastric adenocarcinoma and 3040 controls. The association of the Western, Prudent, and Mediterranean dietary patterns-derived in another Spanish case-control study-with gastric adenocarcinoma was assessed using multivariable logistic regression models with random province-specific intercepts and considering a possible interaction with sex and age. Risk according to tumor site (cardia, non-cardia) and morphology (intestinal/diffuse) was evaluated using multinomial regression models. A high adherence to the Western pattern increased gastric adenocarcinoma risk [odds ratiofourth_vs._first_quartile (95% confidence interval), 2.09 (1.31; 3.33)] even at low levels [odds ratiosecond_vs._first_quartile (95% confidence interval), 1.63 (1.05; 2.52)]. High adherence to the Mediterranean dietary pattern could prevent gastric adenocarcinoma [odds ratiofourth_vs._first_quartile (95% confidence interval), 0.53 (0.34; 0.82)]. Although no significant heterogeneity of effects was observed, the harmful effect of the Western pattern was stronger among older participants and for non-cardia adenocarcinomas, whereas the protective effect of the Mediterranean pattern was only observed among younger participants and for non-cardia tumors. Decreasing the consumption of fatty and sugary products and of red and processed meat in favor of an increase in the intake of fruits, vegetables, legumes, olive oil, nuts, and fish might prevent gastric adenocarcinoma. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 2 | 50% |
Unknown | 2 | 50% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 4 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 75 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 15 | 20% |
Student > Master | 9 | 12% |
Student > Ph. D. Student | 8 | 11% |
Student > Bachelor | 6 | 8% |
Other | 6 | 8% |
Other | 14 | 19% |
Unknown | 17 | 23% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 22 | 29% |
Nursing and Health Professions | 10 | 13% |
Biochemistry, Genetics and Molecular Biology | 4 | 5% |
Economics, Econometrics and Finance | 3 | 4% |
Agricultural and Biological Sciences | 3 | 4% |
Other | 14 | 19% |
Unknown | 19 | 25% |